MetLife PDP Plus Network
Information You Need to Help Effectively Manage Your Dental Plan
View 2022-2023 Plan Details and Rates (no change in rates from previous year)
Your dental benefits are provided through MetLife Preferred Dentist Provider (PDP) plan which maintains a network of dental providers across the country.
MetLife Preferred Dentist Provider (PDP) plan does not provide identification cards. In-network providers automatically submit electronic claims on your behalf.
To access these benefits, use the Duquesne University group number 151368 in conjunction with the demographic information your dental provider requests.
How do I know which plan I'm enrolled in?
The MetLife (PDP) plan provides two options for coverage - Basic and Enhanced. Login to your online benefits account to review your applicable benefits.
How do I find a participating dentist?
You can find the names, addresses, specialties, languages spoken and telephone numbers of participating dentists in a given area by searching MetLife's online directory.
What services are covered by my dental benefits plan?
The services covered under these dental benefit plans are described in the document above. Review the benefit grid to determine the plan that best suits your needs.
May I choose a non-participating dentist?
Yes. You are always free to select the dentist of your choice. However, if you choose a nonparticipating dentist, your out-of-pocket costs may be higher. A non-participating dentist has not agreed to accept negotiated fees. So you may be responsible for any difference in cost between the dentist's fee and your plan's benefit payment. The dental provider may require payment in full at the time services are rendered. Submit claims to MetLife with itemized receipts, along with full patient and member information to MetLife Dental Claims, P.O. Box 981282, El Paso, TX 79998-1282 or fax to 859.389.6505.
What is a pretreatment estimate and when should I request one?
If your dental care will be extensive, you may ask your dentist to complete and submit a request for cost estimate, sometimes called a pre-treatment or pre-determination of benefits. This will allow you to know in advance what procedures are covered, the amount the benefit plan will pay toward treatment and your financial responsibility. To get an estimate, simply ask your dentist to submit a request online a www.metdental.com or call 1-877-MET-DDS9 (638-3379).
FLEXIBLE SPENDING ACCOUNTS. MetLife dental has an established relationship with Wex, our Flexible Spending Account provider. MetLife dental automatically sends a monthly report to Wex to establish documentation.
CONTROL DENTAL COSTS. You can help control your dental expenses by:
- Using only MetLife Preferred Dental Provider plan participating dentists. You can receive a list of participating dentists online at www.metlife.com/mybenefits or by calling 1.800.942.0854.
- Visiting your dentist regularly for checkups
- Following your dentist's advice about regular brushing and flossing
- Seeking treatment before you have a major problem